Nursing Elites

1. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

2. Which element has the same number of protons and neutrons?

• A. Carbon (C)
• B. Oxygen (O)
• C. Lithium (Li)
• D. Helium (He)

Correct answer: D

Rationale: Helium (He) - He-4 has 2 protons and 2 neutrons, while the other options have differing numbers.

3. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: D

Rationale: The correct answer is D: "All of the above." Lymph, a clear fluid that carries immune cells and waste products, moves through the lymphatic vessels by multiple mechanisms. While the pumping action of the heart plays a minor role, the primary driving forces are muscle contractions and breathing movements that squeeze the vessels. Additionally, lymphatic vessels contain one-way valves that prevent the backward flow of lymph, ensuring that it moves in the right direction. Therefore, all of the options provided contribute to the movement of lymph through the lymphatic system.

4. How does the structure of centromeres contribute to chromosome movement during mitosis?

• A. The centromere provides a binding site for spindle fibers, allowing chromosomes to be attached and manipulated.
• B. The centromere serves as a dividing point between sister chromatids, ensuring their separation during anaphase.
• C. The centromere maintains chromosome stability by preventing chromosomal breaks and rearrangements.
• D. The centromere plays a role in DNA replication, ensuring accurate copying of the genetic material.

Correct answer: A

Rationale: Rationale: A) The centromere provides a binding site for spindle fibers, which are microtubules that help move chromosomes during cell division. This attachment allows the chromosomes to be pulled towards opposite poles of the cell during mitosis. Therefore, the structure of centromeres directly contributes to chromosome movement during mitosis by facilitating the attachment and manipulation of chromosomes by the spindle fibers. B) While the centromere does serve as a dividing point between sister chromatids, ensuring their separation during anaphase, this function is more related to the segregation of chromosomes rather than their movement. C) The centromere does play a role in maintaining chromosome stability by ensuring proper chromosome segregation, but it is not primarily responsible for preventing chromosomal breaks and rearrangements. D) The centromere is not directly involved in DNA replication. Its main function is

5. What is the main point of the passage?

• A. Climate change is a myth and does not pose any significant threat to the planet.
• B. The negative consequences of climate change are inevitable and irreversible.
• C. Human actions are the primary cause of climate change, and global efforts are needed to address it.
• D. Technological advancements alone can provide quick and easy solutions to the climate crisis.

Correct answer: C

Rationale: The passage clearly identifies human activities as the cause of climate change and emphasizes the need for global action, aligning with C.

6. What is the unit of measurement for density?

• A. Grams per liter (g/L)
• B. Kilograms per cubic meter (kg/m³)
• C. Pounds per square inch (psi)
• D. Newtons per meter (N/m)

Correct answer: A

Rationale: Density is defined as mass per unit volume. The most commonly used unit for density in the metric system is grams per liter (g/L). Kilograms per cubic meter (kg/m³) is also a common unit for density, but grams per liter is more frequently used in everyday measurements. Pounds per square inch (psi) is a unit of pressure, not density. Newtons per meter (N/m) is a unit of force per unit length, not density.

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